1,150 results match your criteria: "School of Healthcare Sciences.[Affiliation]"

Value-based outcome evaluation methods used by occupational therapists in primary care: a scoping review.

JBI Evid Synth

January 2025

School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff, United Kingdom.

Objective: This scoping review aimed to map how occupational therapists evaluate the outcomes of services they provide within primary care. This evidence was considered in relation to how identified outcome evaluation methods align to principles of value-based health care.

Introduction: Primary care services are experiencing unprecedented demands.

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Objectives: Immune checkpoint inhibitors have recently developed successfully in treatment for several advanced cancers, including advanced renal cancer, where options have previously been limited. However, while some are able to tolerate these treatments, others may experience unpredictable and sometimes severe immune-related adverse events. Oncology health care professionals have vital roles in optimizing safety and supporting positive outcomes for people receiving these treatments.

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Article Synopsis
  • - In regions of Africa where malaria is common, pregnant women in early pregnancy should receive intermittent preventive treatment (IPTp) to reduce malaria risks; however, infants can still contract malaria despite this treatment.
  • - A study used TOPSIS and entropy weight methods to evaluate neonatal malaria symptoms and treatments, analyzing data from 14 African nations and finding that diarrhea was a key symptom in neonates whose mothers had received IPTp.
  • - The research concluded that a combination of zinc and oral rehydration solution (ORS) is the most effective treatment for neonatal malaria, suggesting that African countries should prioritize this co-pack therapy in their healthcare strategies, especially since access to ORS remains limited for many children.
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Health-Related Experiences of Geophagia Among Women of Reproductive Age in Tshwane District, Gauteng Province: An Exploratory Qualitative Study.

Healthcare (Basel)

October 2024

Phytomedicine and Phytochemistry Group, Department of Biomedical Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University, Bellville 3575, South Africa.

Background/objectives: Women of reproductive age are reported to be the largest population that practises geophagia. The short-term and long-term health related conditions originating from the practise of geophagia are often not understood by geophagic women of reproductive age. This study has explored the health-related experiences of geophagia among women of reproductive age of Tshwane District, Gauteng Province.

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Prevalence of urinary incontinence in postpartum women and physiotherapy interventions applied: An integrative review.

Int J Gynaecol Obstet

October 2024

Department of Physiotherapy, School of Healthcare Sciences, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Article Synopsis
  • - The review examines studies on the prevalence of physiotherapy for urinary incontinence (UI) in postpartum women, concluding that UI is a common issue after childbirth.
  • - Utilizing a comprehensive literature search across several databases, the review included 36 relevant studies, with most being quantitative, and identified six key themes related to postpartum UI.
  • - The findings suggest that antenatal pelvic floor muscle training is an effective preventative measure and should be prioritized as a primary treatment option for new mothers experiencing UI.
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A novel approach to peer support for academic researchers.

Occup Med (Lond)

November 2024

National Institute for Health and Care Research Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol, Bristol BS8 2BN, UK.

Background: Academic researchers experience high levels of stress, isolation and loneliness, which compromise their well-being. There is a particular need to address these issues amongst early career and postgraduate research staff. 'Spaces for Listening' is an initiative to increase active listening and provide peer support.

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Active travel offers many societal benefits, including improving people's mental and physical health and minimising our impacts on the environment. Increasing active travel is particularly important amongst children and young people (CYP), who are building habits which they will carry into adulthood. Studies on active travel amongst CYP are limited, however, with most research focusing on adult participants or on adult perceptions of children.

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Article Synopsis
  • Large language models (LLMs) like ChatGPT-4o and Claude 3-Opus were tested for their ability to classify thyroid nodules from ultrasound images, comparing their performance against that of a junior radiologist.
  • The study involved 112 patients and revealed that both LLMs had poor agreement with actual pathological results, with Kappa values indicating weak diagnostic accuracy, while the junior radiologist showed moderate agreement.
  • Although LLMs have potential for future medical applications, their current accuracy is insufficient for clinical diagnostics, as evidenced by high unnecessary biopsy rates compared to the radiologist's results.
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A qualitative exploration of Maltese couples' care experiences of prostate cancer diagnosis and radiotherapy treatment.

Radiography (Lond)

October 2024

Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK. Electronic address:

Introduction: Although prostate cancer is male-specific, the diagnosis and treatment also affect close family members, particularly spouses. Following diagnosis, treatment choices have to be made and this may lead to a period of stress and confusion for both patient and their family. This study investigated couples' care experiences with prostate cancer from diagnosis to radiotherapy treatment in Malta.

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Article Synopsis
  • Thyroid nodules are common but difficult to classify as benign or malignant, leading to this study that evaluates diagnostic methods using AmCAD software and shear wave elastography (SWE) imaging.
  • The study involved 126 validated thyroid nodules and assessed multiple diagnostic patterns formed from AmCAD and SWE to determine their effectiveness, using metrics like sensitivity and accuracy.
  • Results showed that combining AmCAD with SWE imaging, particularly in transverse scans, provided the best diagnostic performance with an AUC of 72.2%, and reduced the missed malignancy and unnecessary biopsy rates significantly.
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  • - The objective of the study was to gather and analyze evidence on conservative treatment options for shoulder issues in patients with hypermobile Ehlers-Danlos Syndrome (hEDS) and hypermobility spectrum disorder (HSD) based on a thorough literature search from 1998 to 2023.
  • - After screening over 17,000 studies, only 4 were included in the review, which highlighted 7 different conservative interventions like exercise and kinesiology taping; results showed positive effects on shoulder function and pain relief.
  • - The study concluded that while shoulder symptoms are prevalent in hEDS/HSD, there is a lack of comprehensive evidence on effective conservative treatments, indicating a need for further research to improve clinical practices.
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  • The Obstetric Bleeding Study UK (OBS UK) is a randomized controlled trial aimed at addressing postpartum hemorrhage, initially developed in Wales, which has noted improved maternal outcomes but faces limitations in generalizability due to demographic homogeneity in the Welsh sample.* -
  • To enhance the diversity and inclusivity of the trial, maternity units across the UK were selected based on their representation of various ethnic and socioeconomic profiles, with a focus on ensuring results are applicable to a broader population.* -
  • An interactive dashboard was created using census data to visualize and compare the demographics of each participating maternity unit, confirming that the trial sites reflect the wider UK's ethnic and socioeconomic diversity, despite some inconsistencies in data availability across different locations.*
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Objective: To determine the feasibility of conducting a randomised controlled trial (RCT) to evaluate a prehabilitation programme for frail patients undergoing total hip replacement (THR) or total knee replacement (TKR).

Design: Randomised feasibility study with embedded qualitative work.

Setting: Three National Health Service hospitals.

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Pressure ulcers (PU) are a globally recognised healthcare concern, with their largely preventable development prompting the implementation of targeted preventive strategies. Risk assessment is the first step to planning individualised preventive measures. However, despite the long use of risk assessment, and the >70 risk assessment tools currently available, PUs remain a significant concern.

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  • Maternal primary adrenal insufficiency (PAI) during pregnancy, caused by Addison disease or congenital adrenal hyperplasia, is rare, and there's limited research on its effects on fetal and neonatal outcomes.
  • A systematic review and meta-analysis examined 31 studies, 11 of which were quantitatively analyzed, focusing on outcomes like spontaneous abortion, preterm birth, and small for gestational age (SGA) neonates.
  • Results showed higher rates of spontaneous abortions (18%), preterm births (11% overall), and SGA neonates (8% overall) in women with PAI compared to controls, although fetal birth weights remained normal across all groups studied.
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Addressing equity, diversity, and inclusion in JBI qualitative systematic reviews: a methodological scoping review.

JBI Evid Synth

September 2024

The Northeast Institute for Evidence Synthesis and Translation: A JBI Centre of Excellence, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA.

Article Synopsis
  • The review aimed to explore how qualitative systematic review teams are incorporating equity, diversity, and inclusion (EDI) in their methods using JBI guidelines.
  • It found that most of the 43 reviews analyzed did not focus on EDI in their questions, with only a few addressing EDI-related issues or including diverse knowledge users.
  • The study highlighted poor reporting of sociodemographic characteristics, making it difficult to analyze and discuss EDI-related matters within the reviewed literature.
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Women's experiences of intermittent auscultation fetal monitoring in labour: A qualitative study.

Women Birth

November 2024

National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Road campus, 01865 289700, Oxford OX3 7LF, UK. Electronic address:

Background: Internationally, intermittent auscultation (IA) is recommended for monitoring the fetal heart rate during labour and birth for women with uncomplicated pregnancies. IA can identify changes in the fetal heart rate that may indicate the need for additional care or intervention. IA is a central facet of midwifery practice, but there is little evidence about women's experience of IA.

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Background/objectives: Failure to thrive (FTT) is mostly caused by insufficient consumption of nutrient-rich food, recurrent infections like diarrhea and intestinal worms, substandard caregiving practices, and limited availability of health and other vital services. Furthermore, there was a correlation between the educational level of mothers and the occurrence of FTT in children aged 6-12 months. Thus, the objective of the current research is twofold: (i) to investigate other factors related to FTT and (ii) to evaluate the impact of them on FTT in Sub-Saharan African countries and their urban areas.

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Background: Four out of five people living with osteoarthritis (OA) also suffer with at least one other long-term health condition. The complex interaction between OA and multiple long-term conditions (MLTCs) can result in difficulties with self-care, restricted mobility, pain, anxiety, depression and reduced quality of life. The aim of the MulTI-domain Self-management in Older People wiTh OstEoarthritis and Multi-Morbidities (TIPTOE) trial is to evaluate the clinical and cost-effectiveness of the Living Well self-management support intervention, co-designed with people living with OA, integrated into usual care, in comparison to usual care alone.

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Skin conditions carry a significant physical, psychological, and social burden. People with skin conditions often engage in health-threatening behaviours that can worsen symptoms and increase cardiovascular disease risk. However, access to dedicated psychological and behaviour-change support is limited.

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Aim: There is an absence of evidence generated in a UK context to support interventions based on occupational therapists' core skills for people living with early-stage dementia. To inform the development of a programme theory and a future evaluation, this paper aimed to describe real-world (routine) community-based occupational therapy interventions for this population and contextual barriers.

Method: Occupational therapy practitioners ( = 21) from five Health Boards in Wales, UK participated in semi-structured interviews ( = 17) which were audio recorded, transcribed, and analysed thematically.

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